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Now showing 1 - 4 of 4
  • PublicationMetadata only
    (2014-01-01T00:00:00Z) Ozoran, EMRE; DUBUS, Turkan; CELIK, Gurhan; HUQ, Gulben; TOPACOGLU, Hakan; DUZYOL, Cagri; ÖZORAN, EMRE
    Aims: The aim of this study was to assess the effects of cepae extractum-heparin on the prevention of pleural adhesions following thoracotomy in rats.
  • PublicationMetadata only
    Ostomy in Nontraumatic Conditions: Our Experience and Review of the Literature
    (2016-12-01T00:00:00Z) Ozoran, EMRE; BUYUKASIK, Kenan; GURBULAK, Bunyamin; DUZKOYLU, Yigit; GURBULAK, Esin Kabul; ARI, Aziz; BEKTAS, Hasan; ÖZORAN, EMRE
    A number of nontraumatic acute abdomen can result in peritonitis leading to sepsis. In emergent conditions, various procedures like segmentary colectomy and/or subtotal colectomy with anastomosis, Hartmann-s procedure, transverse colectomy, and/or expandable metallic stent (SEMS) placement can be performed, considering the status of the patient and the facilitaties of the institution. In our study, we examined the cases diagnosed as acute abdomen without the history of trauma, which had lead to a procedure requiring colostomy. We retrospectively analysed 105 cases of nontraumatic acute abdomen, resulted in a procedure requiring colostomy. American Society of Anesthesiologists (ASA) scoring and Mannheim Peritonitis Index (MPI) were used in the evaluation of the risk of mortality and morbidity. There were colonic perforations of rectosigmoid tumor in 66 cases (62.8 %), sigmoid volvulus in 10 cases (9.5 %), colonic anastomotic leakage in 9 cases (8.5 %), intestinal adhesions in 8 cases (7.6 %), mesenteric ischemia in 5 cases (4.7 %), gynecological diseases in 3 cases (2.85 %), strangulated hernias in 3 (2.85 %), and Ogilvie syndrome in 1 case (0.95 %). Rate of morbidity was found to be 25.7 %, while mortality occurred in 2.8 % of the cases. Cases with mortality and morbidity had ASA scores above two and MPI scores above 23. Anastomotic leakage was the only reason of mortality. In nontraumatic occasions, the management and prognosis of cases with peritonitis, general status of the patients play major roles. The prognosis rates of morbidity and mortality can be highly predicted when ASA and MPI scores are evaluated together.
  • PublicationMetadata only
    Morgagni-s Hernia: Analysis of 21 Patients with Our Clinical Experience in Diagnosis and Treatment
    (2018-06-01T00:00:00Z) Ozoran, EMRE; Arıkan, Soykan; Doğan, Mehmet Baki; Kocakuşak, Ahmet; Ersöz, Feyzullah; Sarı, Serkan; DUZKOYLU, Yigit; Naycı, Ali Emre; Tozan, Emine; DUBUS, Turkan; ÖZORAN, EMRE
    A Morgagni-s hernia is a congenital defect found in the anterior aspect of the diaphragm between the costal and the sternal portions of this muscle. This defect is also referred to as the space of Larrey. It has been reported that 70% of patients with Morgagni-s hernia are female, 90% of the hernias are right-sided, and 92% of the hernias have hernia sacs. This type of hernia is a rare clinical entity and accounts for 3% of all surgically treated diaphragmatic hernias. There are no large retrospective or prospective studies on this topic. This type of hernia is a rare type among adults without a well-described prevalence and without well-established definitive management strategies. There are also few clinical reports about this clinical entity and its surgical treatment. We treated 21 patients with Morgagni-s hernia in a 12-year period, and we report our experience while discussing the surgical treatment of this disease. We performed a retrospective review of the 21 patients who were operated between 2003 and 2015. These patients had undergone surgical repair of Morgagni-s hernia. For each subject, demographic data, symptoms of presentation, physical examination findings, preoperative imaging studies and diagnosis, and surgical procedures were documented. Location of the hernia sac and its contents, postoperative complications, and duration of hospital stay were recorded and evaluated. Twelve patients were females and nine were males. The mean age of patients was 63.85 years. Dyspnea was the most prominent symptom in our patients. Morgagni-s hernias were located on the right side in 19 patients and on the left side in 2 patients. Chest X-ray in 10 patients and abdominal computerized tomography in 17 patients were the major diagnostic tools. Four patients were operated as emergency while others underwent elective surgery (17 patients). Twelve patients were operated with laparoscopy and the remaining nine were operated with the conventional open abdominal technique. Hernia sacs were observed in all of the patients and removed except in four of them. The omentum and the transverse colon were the most commonly seen organs in hernia sacs. Hernia defects were repaired with primary sutures in four patients (all open cases) and primary closure supported with mesh in six patients (four laparoscopic, two open cases). In the remaining 11 patients, hernia defects were closed with synthetic meshes (eight laparoscopic, three open cases). Mean postoperative hospital stay was 9.8 days. No recurrence was observed in any patients. Only one of our patients died during follow-up. In Morgagni-s hernias, surgical intervention is necessary as the hernia may cause complications such as strangulation of the colon or intestines. A laparoscopic approach has increased its popularity in recent years because of the well-known advantages of laparoscopy.
  • PublicationMetadata only
    Case Report: Air Gun Pellet Injury to the Cribriform Plate of a Young Male
    (2016-01-01) ÖZORAN, EMRE; Çevik, Serdar; KİTİŞ, SERKAN; Çalış, Fatih; Soyalp, Celalettin; KİTİŞ, SERKAN; ÖZORAN, EMRE